Chemical injury to the eye from trichloroacetic Acid

Dermatol Surg. 2002 Jul;28(7):609-10; discussion 610. doi: 10.1046/j.1524-4725.2002.01305.x.


Background: Trichloroacetic acid (TCA) is frequently utilized for chemical peeling by physicians practicing dermatologic surgery. Ocular complications from TCA have not been reported previously.

Objective: The purpose of this article is to underscore the irritating and corrosive effects of TCA on the eye.

Methods: A patient is described who experienced seepage of 35% TCA into the eye during a chemical peel.

Results: The patient developed marked conjunctivitis of the affected eye and abrasions involving 25% of the cornea.

Conclusion: TCA must be applied carefully around the eyes to avoid ocular complications, which albeit rare, can be quite grave if not addressed in a timely manner.

Publication types

  • Case Reports

MeSH terms

  • Chemexfoliation / adverse effects*
  • Chemexfoliation / methods*
  • Conjunctivitis / chemically induced*
  • Eye Burns / chemically induced*
  • Female
  • Humans
  • Middle Aged
  • Trichloroacetic Acid / adverse effects*


  • Trichloroacetic Acid